Provider Demographics
NPI:1568706844
Name:JONES, BARBARA BRIDGES (RD LD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:BRIDGES
Last Name:JONES
Suffix:
Gender:F
Credentials:RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 MOUNTAIN BROOK DR
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-2364
Mailing Address - Country:US
Mailing Address - Phone:256-547-2322
Mailing Address - Fax:
Practice Address - Street 1:1200 MOUNTAIN BROOK DR
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-2364
Practice Address - Country:US
Practice Address - Phone:256-547-2322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL162133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered